By David Jang
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Extra resources for Deja Review Emergency Medicine
Primary polydipsia 2. Advanced renal failure Name two causes of primary polydipsia? 1. Psychogenic 2. Hypothalmic lesions Name a cause of hyponatremia with a high Hyperglycemia plasma osmolality. Introduction to Emergency Medicine 15 What are some elements to keep in mind in the history and physical of a patient with hyponatremia? , CHF or cirrhosis); Signs/symptoms suggestive of adrenal insufficiency or hypothyroidism; History that may point to SIADH such as small cell carcinoma What are three important laboratory tests to consider in differentiating hyponatremia?
1. Symptoms referable to serious conditions 2. Sciatica 3. Nonspecific back pain What is the most common cause of back pain? Strain of soft tissue elements in the back What is sciatica? Pain radiating in a dermatomal distribution What are some common causes of sciatica? Herniated disc; Tumor, infection, or hematoma compression; Spinal stenosis How long does it typically take for nonspecific LBP to resolve? Within a month What are some key points in the management of nonspecific lower back pain?
5 mEq/L? Pronounced weakness, hyporeflexia, ileus, paralysis, and dysrhythmias What are some characteristic ECG changes of hypokalemia? Flat T-waves, U-waves, ST depression, and prolonged QT interval What is a concern if a patient with a history of CHF also has hypokalemia? Potentiates digoxin toxicity What are some key points in the management of patients who have chronic/subacute hypokalemia? Oral replacement of potassium preferred; Correction of any magnesium deficits What are some key points in the management of patients with acute hypokalemia?